Case 424 · ICHD-3 6.8.3
6.8.3 Headache attributed to Moyamoya angiopathy (MMA)
- Origin
- Synthetic
- Language
- English — also available in German
- Contributed by
- Imported case — HeadAI synthetic vignettes (de Andrade JBC, da Silva Costa TB, Vasconcelos JL, Lopes TLM, Balsells MD, Cristofolini VL, Querobin SO, Filho FMR. Validation of an AI-based platform for structured diagnosis of headache disorders using ICHD-3 criteria. BMC Neurology 25, 489 (2025). doi:10.1186/s12883-025-04473-1. Dataset: Andrade J. Head.AI Platform. Mendeley Data, V2 (2025). doi:10.17632/4fms6cw2s5.2)
Anamnesis
Identification: Sex/Age: Female, 28 years
Medical History: None relevant
Family History: Negative for cerebrovascular diseases
History of Present Illness (HPI): Main symptom: Recurrent headache for 3 months
Pain characteristics:
Location: Frontal and bilateral
Character: Pulsatile
Intensity: 7/10
Triggering factors: Physical exertion, hyperventilation
Duration: 2-6 hours
Associated symptoms:
Transient episodes of paresthesia in the right upper limb
Occasional dizziness
Physical/Neurological Examination: General: Preserved consciousness
Neurological:
No motor or sensory deficits
Normal and symmetrical reflexes
Negative Babinski sign
Complementary Exams: Magnetic Resonance Angiography: Segmental stenosis of the bilateral middle cerebral artery, with characteristic collateral vascular network ("puff of smoke")
Cranial Computed Tomography: No evidence of acute infarction
Transcranial Doppler: Increased velocities in the territory of the middle cerebral arteries
Report this case — e.g. suspected re-identification risk.